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ME/CFS Severe → somewhat betterNeeds ongoing treatment

Housebound and almost bedbound with ME/CFS, now somewhat better with Mestinon

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Jun 2026
In their words
  • Condition: ME/CFSsometimes I feel sort of ok (not ok ok, just ME/CFS ok...). In context ↗
  • At worst: SevereAfter I got completely housebound and almost completely bedbound it somehow disappeared. In context ↗
  • Now: Somewhat betterI'm still in the severe corner, but it's bearable for which I'm forever grateful! In context ↗
Read from 25 of their posts and comments; links to the 13 this page draws on

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Summary

Alder 92414 has had ME/CFS since at least 2018 and became completely housebound and almost completely bedbound. Over the years they improved into the severe range, crediting Mestinon with shorter, milder PEM and a lower heart rate, and relying on amitriptyline 50 mg for sleep. They still used a wheelchair and mobility scooter. A major relapse in 2025 brought back a chronic sore throat and they recovered after about six months.

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What they tried

Their words about each treatment
  • therapist · Not saidI have a therapist who tries to teacch me how to listen to my body. In context ↗
  • mindfullness/bodyscan activities · HelpedAfter I lie down for half an hour and doing some mindfullness/bodyscan activities, the rush diminishes In context ↗
  • amitriptyline · HelpedI'm at 50mg a night and I can't live without it In context ↗
  • Mestinon · Helped a lotIt improved my situation by 100%. Got it from an me/cfs specialist. In context ↗
  • keeping my boundaries · Not saidYet I do have to keep my boundaries very seriously. In context ↗
  • cannabis · HelpedI started a few months ago and it really helps to take decent rest and reduce the constant stress in my body. In context ↗
  • d ribose · WorseIt gave me diarrhea. In context ↗
  • Garmin · HelpedIt helps me to accept it instead of fighting it. In context ↗

Approaches: POTS medication

Their path

What they say at each step doesn’t fit the worst point or outcome above on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
—ME/CFS onsetnot ok ok, just ME/CFS ok... In context ↗
—completely housebound and almost completely bedboundAfter I got completely housebound and almost completely bedbound it somehow disappeared. In context ↗
2019-2021improved over the years; Mestinon made PEM milder and shorterIt's my magic candy, can't live without it anymore. Less and less severe crashes, shorter 'downtime', feel less sick, pots is better manageable. In context ↗Mestinon / pyridostigmine
2025major relapse with chronic sore throat returningLast year I had a major relapse and I got the chronic sore throat back. In context ↗
2026-06-20back to previous baseline after the relapse; still severely affectedAfter about six months I recovered and the sore throat also went away again. In context ↗

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseMy PEM is triggered less easily and when it hits it's only half as bad as before and lasts for half the time. In context ↗
  • Brain fogMy brain fog has been reduced so I'm able to use my brain again every now and then. In context ↗
  • POTS & dysautonomiaMy heart rate (also have POTS) is overall lower In context ↗
  • Sleep problemsMost important for my sleep are amitriptyline and mestinon. In context ↗
  • Flu-like symptomsLast year I had a major relapse and I got the chronic sore throat back. In context ↗

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